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Serenity Lane
Substance Abuse Rehabilitation Facility in Coburg, Oregon
NPI 1104934892

Serenity Lane is a Substance Abuse Rehabilitation Facility based in Coburg, OR. Serenity Lane practices in Coburg, OR. The NPI Number for Serenity Lane is 1104934892 and holds a License No. (Oregon).

The current practice location address for Serenity Lane is 1 Serenity Lane, Coburg, OR and can be reached out via phone at 541-284-8605 and via fax at 541-687-9041.

Location: 1 Serenity Lane, Coburg, OR, 97408
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104934892
Provider Name
Serenity Lane
Credential
Provider Entity Type
Organization
Address
1 Serenity Lane, Coburg, OR, 97408
Phone Number
541-284-8605
Fax Number
541-687-9041
Provider Enumeration Date
08/25/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1 Serenity Lane
City
Coburg
State
Oregon
Zip
97408
Phone Number
541-284-8605
Fax Number
541-687-9041
person
Provider Business Mailing Address Details
Address
1 Serenity Lane
City
Coburg
State
Oregon
Zip
97408
Phone Number
541-284-8605
Fax Number
541-687-9041
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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